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Wart Reference Card

The document discusses common treatments for warts including topical salicylic acid, imiquimod cream, tretinoin cream, cryotherapy, intralesional immunotherapy, and laser therapy. It notes that combination therapy increases efficacy of treatments and discussing expectations with patients reduces frustration.

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Himanshu Yadav
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40 views2 pages

Wart Reference Card

The document discusses common treatments for warts including topical salicylic acid, imiquimod cream, tretinoin cream, cryotherapy, intralesional immunotherapy, and laser therapy. It notes that combination therapy increases efficacy of treatments and discussing expectations with patients reduces frustration.

Uploaded by

Himanshu Yadav
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Children’s Hospital of Wisconsin

Wart guidelines

Verruca vulgaris, or warts, are benign cutaneous infections caused by the HPV
virus. About half of warts resolve without treatment within one year and two-thirds
within two years. Warts are notoriously difficult to treat and require multiple, often
painful, treatments to eradicate them.

Common treatments and approximate efficacy


•Topical salicylic acid – 75 percent clearance after 6 to 12 weeks.
It is most effective to use 40 percent salicylic acid, especially
when occluded with duct tape on a nightly basis.
•Imiquimod cream (AldaraTM) – 30 percent clearance after
9 weeks, 80 percent after 5 months. It should be applied once
nightly or once per day on Monday, Wednesday and Friday.
•Tretinoin cream (Retin-A) – 80 percent clearance in flat warts
after 12 weeks. Use Tretinoin .05 percent cream nightly.
•Cryotherapy – 30 to 60 percent clearance after 5 to 6 treatments every 2 weeks.
The degree of success is highly dependent on the technique of the person
applying treatment.
•Intralesional immunotherapy – 60 to 70 percent clearance after 3 or 4 monthly
treatments.
•L aser – 60 to 70 percent clearance after about 5 monthly treatments. Local
anesthesia is required because significant pain is associated with this treatment.

Combination therapy increases efficacy of


treatments. Discussing realistic expectations
of treatment with the patient and family prior
to starting therapy reduces frustration.

(over)

chw.org/dermatology
Refer to a dermatologist if the patient:
•Has more than 10 warts
•Has rapidly spreading or painful warts
•Does not respond to treatment after 3 months
•Has warts that worsen after treatment
•Has large warts that measure greater than 1 cm

Clinic information
chw.org/dermatology

Medical care guidelines


Tools for primary care providers
chw.org/medicalguidelines

Physician consultation and referral


Refer a patient • Discuss a case • Arrange a transport
chw.org/refer
(414) 266-2460 or toll-free (800) 266-0366

Appointments
Outpatient specialty appointments
chw.org/appointment
(414) 607-5280 or toll-free (877) 607-5280

© 2014 Children’s Hospital of Wisconsin. All rights reserved.


Exacta 140281 800 0214

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